| NPI | 1881719524 |
|---|---|
| Doing Business As | FRED D. BAUSCHARD, M.D. |
| Entity Type | Organization |
| Authorized Contact | FRED DURLIN BAUSCHARD President 314-832-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO R4202) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |